<html>
    <head>
        <title>电子健康卡</title>
        <script type="text/javascript" src="https://js.aq.qq.com/js/aq_common.js"></script>
        <meta charset="utf-8" />
        <meta name="format-detection" content="telephone=no" />
        <meta name="viewport" content="width=device-width,minimum-scale=1.0,maximum-scale=1.0,user-scalable=no" />
        <meta name="mobile-web-app-capable" content="yes" />
        <meta name="apple-mobile-web-app-status-bar-style" content="black-translucent" />
        <link rel="stylesheet" type="text/css" href="/css/base.css" />
        <link rel="stylesheet" type="text/css" href="/css/regist_new.css?asdfaa" />
        <link rel="stylesheet" type="text/css" href="/css/weui.min.css" />
    </head>
    <body>
        <div class="wrap">
            <div class="input-tab">
                <div class="form">
                    <div class="form-element">
                        <p class="label">姓名</p>
                        <div class="input-block">
                            <input class="name" id="name" placeholder="填写持卡人的姓名" />
                        </div>
                    </div>
                    <div class="form-element">
                        <p class="label">身份证号码</p>
                        <div class="input-block">
                            <input class="idCard" id="idCard" placeholder="填写持卡人的身份证号" maxlength="18" />
                        </div>
                        <a class="upload-idcard">上传身份证
                            <!--<img class="photo-pic" src="/img/photo.png" alt="" />-->
                            <!--<span  class="upload-idcard">上传身份证</span>-->
                        </a>
                    </div>
                    <div class="form-element">
                        <p class="label">民族</p>
                        <div class="input-block select-nation">
                            <input disabled placeholder="选择民族" id="nation" class="nation" value="" />
                        </div>
                    </div>
                    <div class="form-element">
                        <p class="label">详细地址</p>
                        <div class="input-block text-area">
                            <textarea placeholder="请输入详细地址" class="address-detail" id="address-detail"></textarea>
                        </div>
                    </div>
                </div>
                <div class="form form-phone-verify" id="form-phone-verify">
                    <div class="form-element">
                        <p class="label">手机号码</p>
                        <div class="input-block">
                            <input id="phone" maxlength="11" class="phone" placeholder="填写接收通知的号码" />
                        </div>
                        <a class="valid-btn">获取验证码</a>
                    </div>
                    <div class="form-element">
                        <p class="label">验证码</p>
                        <div class="input-block">
                            <input maxlength="6" placeholder="输入验证码" class="validnumber" />
                        </div>
                    </div>
                </div>
                <button disabled class="next-btn">完成申领</button>
                <!-- <a href="regist_other.html" class="other-btn">使用其它证件申领 ></a> -->
            </div>
        </div>
        <div class="loading-mask">
            <div class="loading">
                <img src="/img/loading.gif" alt="" />
                <p>识别中...</p>
            </div>
        </div>
        <div class="mask" id="ocrfail-alert">
            <div class="alert">
                <div class="text">
                    <p>不能正确识别身份信息，请重新上传。</p>
                </div>
                <div class="operation">
                    <a class="confirm-btn" id="confirm-btn">确定</a>
                </div>
            </div>
        </div>
        <script type="text/javascript" src="/js/common.js"></script>
        <script type="text/javascript" src="/js/zepto.min.js"></script>
        <script type="text/javascript" src="/js/picker.min.js"></script>
        <script type="text/javascript" src="/js/jweixin-1.4.0.js"></script>
        <script type="text/javascript" src="/js/weui.min.js"></script>
        <script type="text/javascript" src="/js/regist_new.js?v=1551248412777"></script>
    </body>
</html>
